| Organization Name: | ELLIS COUNTY SLEEP CENTER, LLC |
| NPI Number: | 1083648059 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JAMES W HERNDON (MEMBER) |
| Mailing Address: | 601 S Clay St Ste 107 Ennis |
| State: | TX US |
| Postal Code: | 751195771 |
| Phone Number: | 9728787378 |
| Fax Number: | 9728758289 |
| NPI Enumeration Date: | 07/10/2006 |
| NPI Last Update Date: | 04/23/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 293D00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Laboratories |
| Taxonomy Classification: | Physiological Laboratory |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A laboratory that operates independently of a hospital and physician |